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      A case of impacted maxillary central incisor and its management

      case-report

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          Abstract

          Impaction of maxillary permanent central incisor is not a frequently reported case in dental practice, but its treatment is challenging because of its importance to facial esthetics. Early detection of such teeth is most important if complications are to be avoided. We report a case of a 14-year-old female with an impacted central incisor tooth in the maxillary anterior region. The impacted supernumerary tooth which was preventing the eruption of permanent incisor was surgically removed. Combined approach with surgical exposure and the application of an orthodontic force brought the impacted left maxillary central incisor down to its proper position in the dental arch.

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          Most cited references13

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          Treatment of an impacted dilacerated maxillary central incisor.

          Y T Lin (1999)
          Impacted Incisor With Dilaceration refers to a dental deformity characterized by an angulation between crown and root causing noneruption of the incisor. Surgical extraction used to be the first choice in treating the severely dilacerated incisor. In this article, a horizontally impacted and dilacerated maxillary central incisor was diagnosed radiographically. By combining two stages of the crown exposure surgery with light force orthodontic traction, the impacted dilacerated incisor was successfully moved into proper position. However, long-term monitoring of the stability and periodontal health is critical after orthodontic traction.
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            The orthodontic treatment of impacted teeth

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              Orthodontic treatment of an impacted dilacerated maxillary central incisor combined with surgical exposure and apicoectomy.

              The impacted incisor was moved into its proper position with surgical exposure and orthodontic traction. Although apicoectomy was performed during the orthodontic treatment, the incisor showed good stability after the long retention period.

                Author and article information

                Journal
                J Pharm Bioallied Sci
                J Pharm Bioallied Sci
                JPBS
                Journal of Pharmacy & Bioallied Sciences
                Medknow Publications & Media Pvt Ltd (India )
                0976-4879
                0975-7406
                August 2012
                : 4
                : Suppl 2
                : S174-S176
                Affiliations
                [1]Department of Orthdontics, Best Dental College, Madurai, Tamil Nadu, India
                [1 ]Department of Orthodontics, KSR Institute of Dental Science and Research, Tiruchengode, Tamil Nadu, India
                Author notes
                Address for correspondence: Dr. K. Prem Kumar, E-mail: kskprem@ 123456gmail.com
                Article
                JPBS-4-174
                10.4103/0975-7406.100263
                3467902
                23066245
                9a8c1f5f-10d6-4763-b02a-5408eb08198b
                Copyright: © Journal of Pharmacy and Bioallied Sciences

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 01 December 2011
                : 02 January 2012
                : 26 January 2012
                Categories
                Dental Science - Case Report

                Pharmacology & Pharmaceutical medicine
                orthodontics,impacted incisor,surgical exposure
                Pharmacology & Pharmaceutical medicine
                orthodontics, impacted incisor, surgical exposure

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